Organization
MARSTON-SMITH PS DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE MARSTON DDS (PRESIDENT/ORTHODONTIST)
(480) 239-8720
Entity
Organization
Contact information
Practice address
490 S FARRELL DR STE C101, PALM SPRINGS, CA 92262-7962
(760) 320-7621
Mailing address
14310 EDEN GRV, POWAY, CA 92064-2367
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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